Provider Demographics
NPI:1003081449
Name:BELL, JED ALEXANDER (DO)
Entity Type:Individual
Prefix:DR
First Name:JED
Middle Name:ALEXANDER
Last Name:BELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2036 SCHORRWAY DR NW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8410
Mailing Address - Country:US
Mailing Address - Phone:740-681-1582
Mailing Address - Fax:740-681-1586
Practice Address - Street 1:2036 SCHORRWAY DR NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8410
Practice Address - Country:US
Practice Address - Phone:740-681-1582
Practice Address - Fax:740-681-1586
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-009267208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2873814Medicaid
OH4236981Medicare UPIN